Dry eyes

Examination

A few types of examination can be carried out to patients that suspected of dry eye, in order to measure the amount of tears or observe surface of your eyes by using test paper. None of these examinations are painful.

Amount examination

Schirmer’s test

Schirmer’s test determines whether the eye produces enough tears to keep it moist. This test is used when a person experiences very dry eyes or excessive watering of the eyes. It poses no risk to the subject. A negative (more than 10 mm of moisture on the filter paper in 5 minutes) test result is normal. Both eyes normally secrete the same amount of tears. We use anesthesia eye drop before test to prevent coming out tears by stimulating of inserting papers.

Tear meniscus test

Putting fluorescent dye in your eyes and observe your eye surface if there are enough amount of tear. This is one way of examination using property of tears that gather lower eyelid. In addition, this test is sometime carried out after inserting lacrimal plug to examine the amount of tears.


The lower part of these pictures, yellow-green part is dyed tear.

Quality examination

Tear Break Up Time test

Tear breakup time (TBUT) is a clinical test used to assess for evaporative dry eye disease. To measure TBUT, fluorescein is instilled into the patient’s tear film and the patient is asked not to blink while the tear film is observed under a broad beam of cobalt blue illumination. The TBUT is recorded as the number of seconds that elapse between the last blink and the appearance of the first dry spot in the tear film, as seen in this progression of these slit lamps photos over time. A TBUT under 5 seconds is suspected dry eye.

Office Hours

Weekday

11:30-13:45/15:00-19:30

Saturday

11:00-13:45/15:00-19:00

Sunday,Holiday

11:00-18:00
(no lunchtime.)

Closing The Office

12/31, 1/1, 1/2, 1/3

Access

9th floor of Hulic Shinjuku Building,3-25-1, Shinjuku, Shinjuku-ku, Tokyo 160-0022

TEL:03-5363-0507

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Contact us

shinjuku@tokyomidori.jp

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Doctor Career

Director:Yasuhiro Shinkawa

(A board-certified ophthalmologist)

Memberships

Japan Ophthalmological Society
Japanese Retina and Vitreous Society
Japanese Society of Ophthalmic Surgeons

Certification of Completion

Course of Ophthalmic PDT Study Group
Number of cataract surgery up to the present:About 3000

Career

2001 Graduate-Medical Department of Kumamoto University
2002 Entered Department of Ophthalmology Kyoto University School of medicine
2002 Shimada Municipal Hospital
2008 Japanese Red Cross Society
2010 Kitano Hospital The Tazuke Kofukai Medical Research Institute
2014 Shinjuku-Higashiguchi Eye Clinic


 

Doctor: Hiromi Namikawa

(A board-certified ophthalmologist)

Memberships

Japan Ophthalmological Society

Career

2003 Graduate-Medical Department St. Marianna University
2005 Synthesis Shinkawabashi Hospital
2009 Medical Department St. Marianna University
2013 Shinjuku-Higashiguchi Eye Clinic

Main Research Presentations

"Axonal protection by brain-derived neurotropic factor associated with CREB phosphorylation in tumor necrosis factor-alpha-inducted optic nerve degeneration."


 

Doctor:Yuko Ando

(A board-certified ophthalmologist)

Memberships

Japan Ophthalmological Society
Japan ophthalmlogists Association

Career

1988 Graduate-Medical Department of Tokai University
1989 National Tokyo Daini Hospital
2009~Shinjuku-Higashiguchi Eye Clinic

Doctor:Ryutaro Oki

(A board-certified ophthalmologist)

Memberships

Japan Ophthalmological Society
Japan ophthalmlogists Association

Career

1987 Saitama Medical University
2014~Shinjuku-Higashiguchi Eye Clinic
We have 3 full-time service orthoptists, 2 part-time orthoptist, 1 full-time nurses and 3 part-time nurses in our clinic.
Another several ophthalmologists are working here.